ICON Surgery Center of Denver
PATIENT’S GUIDE TO OUTPATIENT SURGERY
Erik Anderson MD
PATIENT’S GUIDE TO OUTPATIENT SURGERY
Thank you for choosing Icon Eyecare and Dr. Anderson for your cataract
surgery. Dr. Anderson is committed to offering you the highest quality eye care and an excellent visual outcome. The following packet will guide you through the cataract surgery process. If at any time you have questions, please email Elliott Witchey at Elliott.Witchey@Iconeyecare.com or call 303-761-9944.
Your surgery will be performed on a Thursday morning at the ICON Surgery Center, a state-of-the-art facility that is fully licensed by the State of Colorado, certified by the federal Medicare program, and accredited by The Joint Commission.
A nurse will call you two days before to confirm your arrival time and answer any questions you may have. If you need overnight accommodations, Candlewood Suites (303-858-9900) is located right next to our facilty
PREPARING FOR SURGERY
PLEASE FOLLOW THESE INSTRUCTIONS BEFORE SURGERY:
- FASTING: For your safety, please do not eat or drink any liquid 6 hours before surgery arrival.
- MEDICATIONS: You may take your regular medications with a sip of water the morning of surgery. Dr. Anderson DOES NOT require that you stop aspirin, warfarin, plavix or other blood thinners for cataract surgery. If you are an insulin dependent diabetic, please talk with your medical doctor about insulin dosage adjustments while fasting.
- RIDE: Arrange for a trip home and plan on a friend or family member staying with you after surgery.
- SUNGLASSES: Bring a pair of sunglasses with you the day of surgery.
- MAKEUP: Please refrain from wearing make-up the morning of surgery.
WHEN TO NOTIFY DR. ANDERSON
If for any reason you cannot keep your scheduled surgery appointment
or you experience any changes in your health such as a cough, fever,
or a cold, please let Dr. Anderson know by calling 303-761-9944.
THE DAY OF SURGERY
WHEN YOU ARRIVE AT ICON SURGERY CENTER OF DENVER
Please arrive promptly at the time given. After you have registered, one of our nurses will answer any questions you may have and help prepare you for surgery. If you have not previously signed a consent form, you will be asked to do so at this time.
- Please bring your current ID, insurance cards, and medication list.
- Arrange for an interpreter to accompany you if you do not speak either English or Spanish. This person should remain at the center until you are discharged.
- Leave your valuables, including jewelry and watches, at home.
A highly qualified certified registered nurse anesthetist (CRNA) will evaluate you before surgery. The majority of cataract surgery is performed with twilight anesthesia where you are awake but relaxed during operation.
Immediately following surgery, you will be taken to our fully equipped recovery room where your vitals are closely monitored. The typical length of stay in the recovery room is 20-30 minutes. For your safety and well-being, you must have an adult family member or friend drive you home after surgery. We ask you not to drive for 24 hours as the anesthesia may make you feel sleepy and light-headed for 12-24 hours.
AT HOME AFTER SURGERY
We suggest that you eat lightly for the first 24 hours after your procedure and follow the instructions below:
- AVOID TOUCHING OR RUBBING THE EYE. A clear shield will be placed over the eye after surgery. This can be removed after 4 hours but please wear it when taking a nap or sleeping. It can be permanetly removed the morning after surgery.
- BE ACTIVE AROUND THE HOUSE but do not do anything more strenuous. Bending is ok but avoid lifting anything more than 15 pounds as it can increase pressure in the eye. You can gradually increase normal activities by the end of the first week.
- YOU MAY PERFORM LIGHT EXERCISE (treadmill, etc.) by the end of the first week including skiing, golf, and tennis. Swimming and hot tubs should be avoided for two weeks.
- YOU MAY CAREFULLY BATHE but do not get a stream of water directly into the eyes. Avoid eyeliner and mascara for one week; other makeup is ok.
- RESUME YOUR DIET AND CONTINUE NORMAL MEDICATIONS
- DO NOT SQUEEZE YOUR EYELIDS TIGHT. Artificial ears can be used as needed for eye irritation.
- USE YOUR BROMSITE OR PROLENSA ONCE DAILY FOR 3 WEEKS. If you need a refill, please contact your pharmacy. Most prescriptions are sent to Flatirons Family Pharmacy (303) 827-3480.
- THERE ARE NO TRAVEL RESTRICTIONS. You can fly after surgery if needed.
Mild irritation, itching, redness, and sensitivity to light are NORMAL for the first few days after cataract surgery. These symptoms will improve gradually. It is also normal for your vision to seem blurry. This may take a few days to clear up. Because your pupil will be widely dilated after cataract surgery, you may be light sensitive and notice glares or halos around lights. Once the pupil returns to a standard size (this can take up to 48 hours in blue eyes individuals), these symptoms should resolve. You may also experience an increase in floaters (black or gray specks) or occasional flashes for 1-2 days.
What is NOT NORMAL after cataract surgery is severe, constant pain, decrease in vision, or severe redness. Should you experience any of these symptoms call 720-524-1001 or Dr. Anderson directly at 303-521-2783.
EYE DROP INSTRUCTIONS
Dr. Anderson uses one drop called, Bromsite (Prolensa). This prescription will be sent electronically to Flatirons Family Pharmacy (303-827-3480) and mailed to you within 1-2 days. The drop you will receive depends on your insurance, and it should be no more than $60. Bromsite and Prolensa are both brand names; they have the same instructions, and the drops are equivalent.
BROMSITE (PROLENSA) INSTRUCTIONS:
Before Surgery: Start using one drop TWO days before surgery ONE time per day.
Day of Surgery: Use the drops on the morning of surgery and then for a second time at 6 pm after surgery.
After Surgery: Use ONE drop ONCE daily in the morning for THREE weeks.
DRY EYE TREATMENT
If you have dry eyes Dr. Anderson will recommend using Systane Ultra Preser-vative Free Eye Drops: ONE drop TWICE DAILY before surgery.
If an ointment is prescribed (Maxitrol), apply this to the inside of BOTH eyelids at night starting a week before surgery. DO NOT use the ointment the day be-fore or on the day of surgery.
Artificial Tears and ointment can be used AFTER cataract surgery to help with irritation and redness.
Systane Artificial Tears (Over-The-Counter)
You will receive separate bills from:
- Your Surgeon
- Anesthesia Provider
- The Facility
ICON Surgery Center of Denver accepts most major commercial insurance HMO/PPO/POS plans, Medicare and Medicaid. Patients with insurance will be billed their co-payment and any deductible on the day of surgery. ICON Surgery Center of Denver bills the patient‘s insurance company as a courtesy; however, any balance due is the patient’s responsibility. Individuals who do not have health insurance are asked to be responsible for our facility charge and anesthesia fee on the day of surgery. ICON Surgery Center of Denver accepts American Express, Visa, Mastercard, personal checks, cashier’s checks, and cash.
SURGICAL CENTER HOURS
The ICON Surgery Center is open daily Monday through Friday 7:30 am to 5:30 pm. Surgery is scheduled by appointment only.
IF YOU HAVE ANY QUESTIONS
If you have any questions or concerns, please contact us at 303-761-9944. If your questions aren’t answered, Dr. Anderson PREFERS you contact him directly at 303-521-2783 or email: email@example.com. Dr. Anderson wants you to be well informed and comfortable with proceeding with your surgery.
If you are unable to keep your appointment, please notify your doctor and ICON Surgery Center of Denver as soon as possible, preferably a minimum of 48 hours before your appointment. We appreciate your courtesy.